HomeMy WebLinkAboutPermit EL12-0826 - INTERLINE BRANDSDS INC.
1147 ANDOVER PK W
EL1 2-0826
City oftukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 3523049098
Address: 1147 ANDOVER PK W TUKW
Project Name: INTERLINE BRANDS INC.
ELECTRICAL PERMIT
Permit Number: EL12 -0826
Issue Date: 08/31/2012
Permit Expires On: 02/27/2013
Owner:
Name: WALTON CWWA SOUTHCENTER 4 L
Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
Contact Person:
Name: ADAM BLACK
Address: 2408 KINSMAN CT E , ROY WA, 98580
Contractor:
Name: ALEXANDER LIGHTING INC
Address: 9324 19 AV E , TACOMA WA 98445
Contractor License No: ALEXALI899C8
Phone: 253 320 -6126
Phone: 253 320 -6126
Expiration Date: 02/28/2013
DESCRIPTION OF WORK:
CHANGE LAMPS AND BALLASTS FOR ENERGY UPGRADE
Value of Electrical:
NRES: $743.00
RES: $0.00
Fees Collected: $84.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signatur -
Date:
2008
I hereby certify that I have read . d ex. ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be comp 'ed with whether specified herein or not.
The granting of this permit does not •res e to giv authority to violate or cancel the provisions of any other state or loc laws regulating
construction or the rfo • -+ ce of wor / am a orized to sign and obtain this electrical permit.
Signature:
Print Name: 144101-----
Date:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/10
EL12 -0826 Printed: 08 -31 -2012
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PERMIT CONDITIONS
Permit No. EL12 -0826
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this authority are therefore not valid.
6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additional review may be required.
doc: EL -4/10
EL12 -0826 Printed: 08 -31 -2012
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
Electrical Permit No. E CV Co.
Project No.
Date Application Accepted: 0U 1'' I2
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
Site Address:
Tenant Name:
King Co Assessor's Tax No.: ;c2 3o t-I -101 f)
1147 ANDOVER PARK WEST TUKWILA
INTERLINE BRANDS INC.
Suite Number:
PROPERTY OWNER
Name: ADAM BLACK
Name: ft, �.1 />,•1 ,nn_f
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Address: /J � n�
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City: ` ug c
State: pr ,\� Zi :[ 21
CONTACT PERSON — person receiving all project
communication
Name: ADAM BLACK
Address: 2408 KINSMAN CT E
City: ROY State: WA Zip: 98580
Phone: (253) 320 -6126 Fax:
Email: alexanderlighting @hotmail.com
Floor:
New Tenant: ❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ALEXANDER LIGHTING INC.
Address: 2408 KINSMAN CT E
City: ROY State: WA Zip: 98580
Phone: (253) 320 -6126 Fax: (360) 832 -2422
Contr Reg No.: ALEXALI899C8 Exp Date: 02/28 2013
Tukwila Business License No.: BUS - 0993474
Valuation of Project (contractor's bid price): $ 743
Scope of Work (please provide detailed information):
Change lamps and ballasts. Energy upgrade.
Will service be altered? ❑ Yes IN No Adding more than 50 amps? ❑ Yes WI No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy ❑ Seattle City Light
H:\Applications \Forns - Applications On Lme\2011 Appltcapons\Electncal Perm* Appltcauon Revised &9- 11.docx
Revised: August 2011
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Page 1 of 2
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $15.2.85_
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: 08/26/2012
Print Name: ADAM BLACK Day Telephone: (253) 320 -6126
Mailing Address: 2408 KINSMAN CT E ROY WA 98580
City
H: \Applications \Fortis - Applications On Lme\2011 Applicauons\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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State Zip
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 3523049098
Address: 1147 ANDOVER PK W TUKW
Suite No:
Applicant: INTERLINE BRANDS INC.
RECEIPT
Permit Number: EL12 -0826
Status: PENDING
Applied Date: 08/31/2012
Issue Date:
Receipt No.: R12 -02514
Payment Amount: $84.00
Initials: JEM Payment Date: 08/31/2012 12:41 PM
User ID: 116S Balance: $0.00
Payee: ALEXANDER LIGHTING INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 194017
ACCOUNT ITEM LIST:
Description
84.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 84.00
Total: $84.00
doc: Receiot -06 Printed: 08 -31 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
12-Dguto
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 1 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project /1.4 1`(", n
Type of Inspection:
2_400
Address: 1111 7 ,� n )
Date Called:
Special Instructions:
1} .4p U
L� • (ter t ��
Date Wanted:.
7/4 7
a.m.
p.m.
Requester:
l i
Phone No:
IAApproved per applicable codes.
COMMENTS:
4,/
(1
Corrections required prior to approval.
,sfrIPJA1V'
Inspector:
Date:
bq 2? !2_
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION i•
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
-034
Project: I t a i, �bS
Type of Inspection:
Address: E 19. �d
/'n
Date Called:
Special Instructions:
r%, kerko
1
Date Wanted:.
7./
•
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
�� 0s 1/c IZA1/4 i z7
Date: 044 4 /'
❑ REINSPECTION FEE REQUAD. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector: t1
Contractors or Tradespeople PriFriendly Page
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Electrical Contractor
A business licensed by LEI to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time
supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
ALEXANDER LIGHTING INC
2533206126
2408 Kinsman Ct E
Roy
WA
98580
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603053824
Active
ALEXALI899C8
Electrical Contractor
2/28/2011
2/28/2013
Lighting Maintenance
Unused
Electrical Administrator INFORMATION
License BLACKAA895CH
Name BLACK, ADAM A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BLACK, ADAM A
Agent
02/28/2011
BLACK, ADAM A
President
02/28/2011
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
Lexon Ins Co
9804083
02/23/2011
Until Cancelled
$4,000.00
02/28/2011
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/31/2012